Individual provider · Type 1 NPI

Peter Fullmer

General Practice Dentistry · Eielson Afb, AK

NPI number 1922853878 Active

Practice location

2630 Central Ave
Eielson Afb, AK 99702-2301

Call (907) 377-1847 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X14004164-9926 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

46 other providers at this address

Other general practice dentistry providers in Eielson Afb

See all in Eielson Afb →

About NPI 1922853878

Peter Fullmer's National Provider Identifier is 1922853878, issued on Apr 23, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Eielson Afb, AK. The record was last updated on Aug 12, 2025.